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NUR242 / NUR 242 Exam 3 (Latest 2024 / 2025): Medical-Surgical Nursing Concepts | Complete Guide with Questions and Verified Answers | 100% Correct - Galen

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Exam 3: NUR242 / NUR 242 (Latest 2024 / 2025) Medical-Surgical Nursing Concepts Exam Review | Complete Guide with Questions and Verified Answers | 100% Correct - Galen Q: Hiatal Hernia Answer: A condition where a part of the stomach that normally is located in the abdominal cavity protrudes through the esophageal hiatus to rest within the chest cavity Q: Hiatal Hernia symptoms usually worsen after meals. These symptoms may be made worse when Answer: Lying flat and may resolve with sitting up or walking. Q: Hiatal Hernia patients should immediately report Answer: abdominal pain with nausea, vomiting, and fever Q: Hiatal Hernia lifestyle changes may include Answer: elevating the head of the bed when sleeping to allow gravity to prevent acid from refluxing into the esophagus and remaining upright after meals. Q: Hiatal hernia Diet should consist of Answer: small frequent meals instead of eating two or three larger meals a day. Avoid vigorous movement after meals. Q: Hiatal hernia foods that should be avoided include Answer: spicy, greasy foods, onions, tomatoes and citrus fruits Q: Gastritis occurs when Answer: the lining of the stomach known as the mucosa becomes inflamed or swollen. When the stomach mucosa becomes inflamed edema, hemorrhage and erosion of the mucosa occur. Q: Medical treatment for Gastritis depends on the specific cause. Patients will be instructed to stop taking irritating medications such as Answer: ASA and NSAIDS Q: Gastritis medications to decrease the amount of hydrochloric acid in the stomach. these would include Answer: Antacids, H2 antagonists, and Proton pump inhibitors Q: The patient with Gastritis is at risk for Answer: Deficient Fluid Volume A nursing priority is to access the patient's hydration status. Includes I&O, Daily Weights, &VS. Q: Peptic Ulcers Disease Answer: are a break in the mucous lining of gastrointestinal tract from continued contact with gastric juice. This results in inflammation. Pain that is worsened by the ingestion of food. Q: Ulcers in the mucosa of GI tract occur from several different causes. Duodenal ulcers are associated with a Answer: H. Pylori infection Q: Gastric ulcer pain is described as Answer: a dull, aching pain, often right after a meal; eating does not relieve pain and may even worsen it. Pain may also occur late at night. Q: Other symptoms associated with PUD are Answer: Nausea with or without vomiting, weight loss, anorexia, belching and dyspepsia (indigestion). Patient may report a distended abdomen that is painful. Q: PUD increased risk factor in Answer: Smokers smoking contributes to the pathogenesis of peptic ulcer disease. Smoking causes an acceleration of gastric emptying of liquids, promotes of duodenogastric reflux and causes a reduction in mucosal blood flow. Patient should attend a smoking cessation course. Q: Gastric Cancer Answer: Stomach cancers tend to develop slowly over many years. Before a true cancer develops, pre-cancerous changes often occur in the inner lining (mucosa) of the stomach. These early changes rarely cause symptoms and therefore often go undetected Q: The decline of stomach acids has been linked to the frequent use of antibiotics to treat infection. Antibiotics can kill the bacteria called Answer: Helicobacter pylori (H. pylori), which is though to be a major cause of stomach cancer Q: Gastrectomy post care Answer: Administer protein and vitamin supplements to foster wound repair and tissue building. Eat small, frequent meals. Q: Stress the importance of long term vitamin B12 injections after Answer: gastrectomy to prevent surgically induced pernicious anemia

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Uploaded on
February 21, 2024
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Written in
2023/2024
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Exam (elaborations)
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NUR 242 Medical-Surgical Nursing Concepts


Exam 3



Question:
Hiatal Hernia
Answer:
A condition where a part of the stomach that normally is located in the
abdominal cavity protrudes through the esophageal hiatus to rest within the
chest cavity




Question:
Hiatal Hernia symptoms usually worsen after meals. These symptoms may
be made worse when?
Answer:
Lying flat and may resolve with sitting up or walking.




Question:
Hiatal Hernia patients should immediately report
Answer:
abdominal pain with nausea, vomiting, and fever

,Question:
Hiatal Hernia lifestyle changes may include
Answer:
elevating the head of the bed when sleeping to allow gravity to prevent acid
from refluxing into the esophagus and remaining upright after meals.




Question:
Hiatal hernia Diet should consist of
Answer:
small frequent meals instead of eating two or three larger meals a day. Avoid
vigorous movement after meals.




Question:
Hiatal hernia foods that should be avoided include
Answer:
spicy, greasy foods, onions, tomatoes and citrus fruits




Question:
Gastritis occurs when
Answer:
the lining of the stomach known as the mucosa becomes inflamed or
swollen. When the stomach mucosa becomes inflamed edema, hemorrhage
and erosion of the mucosa occur.

,Question:
Medical treatment for Gastritis depends on the specific cause. Patients will
be instructed to stop taking irritating medications such as
Answer:
ASA and NSAIDS




Question:
Gastritis medications to decrease the amount of hydrochloric acid in the
stomach. these would include
Answer:
Antacids, H2 antagonists, and Proton pump inhibitors




Question:
The patient with Gastritis is at risk for
Answer:
Deficient Fluid Volume
A nursing priority is to access the patient's hydration status. Includes I&O,
Daily Weights, &VS.

, Question:
Peptic Ulcers Disease
Answer:
are a break in the mucous lining of gastrointestinal tract from continued
contact with gastric juice. This results in inflammation. Pain that is
worsened by the ingestion of food.




Question:
Ulcers in the mucosa of GI tract occur from several different causes.
Duodenal ulcers are associated with a
Answer:
H. Pylori infection




Question:
Gastric ulcer pain is described as
Answer:
a dull, aching pain, often right after a meal; eating does not relieve pain and
may even worsen it. Pain may also occur late at night.

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